Dental Consent Form

Save time at your pet’s dental appointment by completing our dental consent form online or by printing it and bringing it in with you.

Dental Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

You may use the PDF version by clicking the DOWNLOAD FORM button and then completing the printed form by hand. Please bring the completed PDF form with you for your appointment.

All feline and canine dental procedures include a pre-anesthetic physical exam, IV catheter, nail trim, internal ear exam, professional ultrasonic scaling, automatic polishing, full mouth dental radiographs, anesthetic monitoring and monitored recovery.

Pre-Anesthetic Blood Work

*Note: If your pet is over 10 years old, IV fluids and a pre-anesthetic blood panel are highly recommended and may be required by the veterinarian for the safety of the patient.

Intravenous (IV) Fluid Support

Extractions

Therapeutic Laser Post-Extraction Treatment

Additional Services

Cardiopulmonary Resuscitation (CPR): Informed Consent

If yes, please provide the following details

By signing this document I have carefully read and understand the terms and conditions set forth by Potlatch Veterinary Clinic and agree to all the above statements.

Clear Signature